Expander/Implant Reconstruction Patient 4

Unilateral tissue expander breast reconstruction / contralateral symmetrizing breast reduction / creation of nipple.

48 yo 5′ 6″ underwent left mastectomy with same time tissue expander breast reconstruction, full muscle coverage. Second stage – replacement of expander with 650cc high profile saline implant and a contralateral (right) breast symmetrizing reduction. Third stage – nipple reconstruction on her reconstructed breast pending tattooing for the nipple and areola to complete the reconstruction. Note the contouring of the skin envelope of the breast to improve the aesthetic appearance and symmetry with her native reduced breast.